Treatment for Surgical Complications of Anterior Cervical Spine_West China Medical Journal

Authors：

ZHENG Jun , YANG Xiaoning , CAO Lei

Department of Orthopedics, the First People’s Hospital of Xuzhou City, Xuzhou, Jiangsu 221000, P. R. China;

Corresponding author：

Keywords：

脊髓型颈椎病; 前路手术; 并发症

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【摘要】　目的　探讨颈椎手术并发症原因及预防措施，以提高手术成功率。　方法　对2000年5月-2009年5月实施颈椎前路手术的脊髓型颈椎病患者201例中20例发生并发症患者的临床资料及随访情况进行回顾性分析。　结果　 20例并发症患者获得随访时间3个月～10年，平均5.5年。近期并发症11例，发生率5.47%；远期并发症9例，发生率4.48%。　结论　充分认识脊髓的损伤类型，仔细评估患者的全身情况，熟练的手术操作，良好的术后护理是手术成功的关键。
【Abstract】　Objective　 To investigate the reasons of and prevention for surgical complications of anterior cervical spine.　Methods　 The clinical data of 20 patients with surgical complications in 201 patients who underwent anterior cervical surgery from May 2000 to May 2009 were analyzed retrospectively.　Results　 The patients with complications were followed up for 3 months to 10 years with an average of 5.5 years. The rate of 11 patients with short-term complications was 15%, and the rate of nine patients with long-term complications was 4.48%.　Conclusion　 The key of a successful surgery for anterior cervical spine inludes full realization of type of cervical spinal cord injury, careful evaluation of the patient’s general condition, skilled operation, and good post-operative care.

Citation： ZHENG Jun,YANG Xiaoning,CAO Lei. Treatment for Surgical Complications of Anterior Cervical Spine. West China Medical Journal, 2011, 26(1): 51-53. doi: Copy

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6.	Patel NP, Wolcott WP, Johnson JP, et al. Esophageal injury associated with anterior cervical spine surgery[J]. Surg Neurol, 2008, 69(1): 20-24, discission 24.
7.	Kriskovich MD, Apfelbaum RI, Haller JR. Vocal fold paralysis after anterior cervical spine surgery: incidence, mechanism, and prevention of injury[J]. Laryngoscope, 2000, 110(9): 1467-1473.
8.	Hasegawa K, Homma T, Chiba Y. Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion[J]. Spine (Phila Pa 1976), 2007, 32(6): E197-202.
9.	Wright IP, Eisenstein SM. Anterior cervical discectomy and fusion without instrumentation[J]. Spine (Phila Pa 1976), 2007, 32(7): 772-774, discussion 775.
10.	Hannallah D, Lee J, Khan M, et al. Cerebrospinal fluid leaks following cervical spine surgery[J]. J Bone Joint Surg Am, 2008, 90(5): 1101-1105.
11.	Nakra D, Bala I, Pratap M. Unilateral postoperative visual loss due to central retinal artery occlusion following cervical spine surgery in prone position[J]. Paediatr Anaesth, 2007, 17(8): 805-808.
12.	Fujibayashi S, Shikata J, Kamiya N, et al. Missing anterior cervical plate and screws: a case report[J]. Spine (Phila Pa 1976), 2000, 25(17): 2258-2261.
13.	陈雄生, 贾连顺, 曹师锋, 等. 颈椎前路手术的并发症[J]. 中华骨科杂志, 2003, 23(11): 644-649.
14.	Farey ID, McAfee PC, Davis RF, et al. Pseudarthrosis of the cervical spine after anterior arthrodesis. Treatment by posterior nerve-root decompression, stabilization, and arthrodesis[J]. J Bone Joint Surg Am, 1990, 72(8): 1171-1177.
15.	Bohlman HH, Kirkpatrick JS, Delamarter RB, et al. Anterior decompression for late pain and paralysis after fractures of the thoracolumbar spine[J]. Clin Orthop Relat Res, 1994, (300): 24-29.
16.	Schneeberger AG, Boos N, Schwarzenbach O, et al. Anterior cervical interbody fusion with plate fixation for chronic spondylotic radiculopathy: a 2- to 8-year follow-up[J]. J Spinal Disord 1999, 12(3): 215-220, discussion 221.

1. 　Kaner T, Sasani M, Oktenoğlu T, et al. Clinical outcomes following cervical laminoplasty for 19 patients with cervical spondylotic myelopathy[J]. Turk Neurosurg, 2009, 19(2): 121-126.
2. 　Hannallah D, Lee J, Khan M, et al. Cerebrospinal fluid leaks following cervical spine surgery[J]. J Bone Joint Surg Am, 2008, 90(5): 1101-1105.
3. 　Phommachanh V, Patil YJ, McCaffrey TV, et al. Otolaryngologic management of delayed pharyngoesophageal perforation following anterior cervical spine surgery[J]. Laryngoscope, 2010, 120(5): 930-936.
4. 　Apfelbaum RI, Kriskovich MD, Haller JR. On the incidence, cause, and prevention of recurrent laryngeal nerve palsies during anterior cervical spine surgery[J]. Spine (Phila Pa 1976), 2000, 25(22): 2906-2912.
5. 　Jung A, Schramm J. How to reduce recurrent laryngeal nerve palsy in anterior cervical spine surgery: a prospective observational study[J]. Neurosurgery, 2010, 67(1): 10-15, discussion 15.
6. 　Patel NP, Wolcott WP, Johnson JP, et al. Esophageal injury associated with anterior cervical spine surgery[J]. Surg Neurol, 2008, 69(1): 20-24, discission 24.
7. 　Kriskovich MD, Apfelbaum RI, Haller JR. Vocal fold paralysis after anterior cervical spine surgery: incidence, mechanism, and prevention of injury[J]. Laryngoscope, 2000, 110(9): 1467-1473.
8. 　Hasegawa K, Homma T, Chiba Y. Upper extremity palsy following cervical decompression surgery results from a transient spinal cord lesion[J]. Spine (Phila Pa 1976), 2007, 32(6): E197-202.
9. 　Wright IP, Eisenstein SM. Anterior cervical discectomy and fusion without instrumentation[J]. Spine (Phila Pa 1976), 2007, 32(7): 772-774, discussion 775.
10. 　Hannallah D, Lee J, Khan M, et al. Cerebrospinal fluid leaks following cervical spine surgery[J]. J Bone Joint Surg Am, 2008, 90(5): 1101-1105.
11. 　Nakra D, Bala I, Pratap M. Unilateral postoperative visual loss due to central retinal artery occlusion following cervical spine surgery in prone position[J]. Paediatr Anaesth, 2007, 17(8): 805-808.
12. 　Fujibayashi S, Shikata J, Kamiya N, et al. Missing anterior cervical plate and screws: a case report[J]. Spine (Phila Pa 1976), 2000, 25(17): 2258-2261.
13. 　陈雄生, 贾连顺, 曹师锋, 等. 颈椎前路手术的并发症[J]. 中华骨科杂志, 2003, 23(11): 644-649.
14. 　Farey ID, McAfee PC, Davis RF, et al. Pseudarthrosis of the cervical spine after anterior arthrodesis. Treatment by posterior nerve-root decompression, stabilization, and arthrodesis[J]. J Bone Joint Surg Am, 1990, 72(8): 1171-1177.
15. 　Bohlman HH, Kirkpatrick JS, Delamarter RB, et al. Anterior decompression for late pain and paralysis after fractures of the thoracolumbar spine[J]. Clin Orthop Relat Res, 1994, (300): 24-29.
16. 　Schneeberger AG, Boos N, Schwarzenbach O, et al. Anterior cervical interbody fusion with plate fixation for chronic spondylotic radiculopathy: a 2- to 8-year follow-up[J]. J Spinal Disord 1999, 12(3): 215-220, discussion 221.

West China Medical Journal

Treatment for Surgical Complications of Anterior Cervical Spine

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